Provider Demographics
NPI:1457997470
Name:DARA WELLNESS AND PHYSIO LLC
Entity type:Organization
Organization Name:DARA WELLNESS AND PHYSIO LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LINDSAY
Authorized Official - Middle Name:
Authorized Official - Last Name:GURNEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-381-9074
Mailing Address - Street 1:5129 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-4429
Mailing Address - Country:US
Mailing Address - Phone:970-381-9074
Mailing Address - Fax:
Practice Address - Street 1:2970 W 29TH ST UNIT 17
Practice Address - Street 2:
Practice Address - City:GREELEY
Practice Address - State:CO
Practice Address - Zip Code:80631-8510
Practice Address - Country:US
Practice Address - Phone:970-381-9074
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-25
Last Update Date:2019-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty